Organization
DEAK-N-HALL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMIE LEE RECUPERO COO (COO)
(843) 651-2273
Entity
Organization
Contact information
Practice address
1950 LAUREL MANOR DR STE 135, THE VILLAGES, FL 32162-5602
(352) 720-6277
(843) 651-1592
Mailing address
2520 S HIGHWAY 17, MURRELLS INLET, SC 29576-7657
(843) 651-2273
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
302F00000X
Exclusive Provider Organization
—
—
Other
Enumeration date
05/30/2020
Last updated
03/19/2025
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